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Individual

ANDREW MARLON MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-A

Contact information

Practice address
100 EAST AVE, NORWALK, CT 06851-5010
(203) 299-1315
Mailing address
229 BRANFORD RD UNIT 329, NORTH BRANFORD, CT 06471-1372
(718) 902-5299

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.007646-ASOC
CT

Other

Enumeration date
05/30/2025
Last updated
05/30/2025
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